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E-mail address*

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

The following information will be used for UW Continuing Nursing Education program schedules and speaker lists.

What degrees and credentials would you like listed after your name?

Your Current Position(s):

Positions

Position

Agency

City

Position 1

Position 1*

Agency

Location name

e.g. a place of business, venue, meeting point

City

Position 2

Position 2

Agency

Location name

e.g. a place of business, venue, meeting point

City

Position 3

Position 3

Agency

Location name

e.g. a place of business, venue, meeting point

City

In order to process your honoraria, the UW requires a Social Security number. This is not stored online. Please call 206-543-1047 and provide UWCNE with your information.

Educational Preparation:

Degrees

Degree

Major Area of Study

Year Degree Awarded

Institution (Name, City, State)

Degree 1

Degree 1*

Major Area of Study*

Year degree awarded*

Institution (Name, City, State)

Location name

e.g. a place of business, venue, meeting point

City

State/Province

Degree 2

Degree 2

Major Area of Study

Year degree awarded

Institution (Name, City, State)

Location name

e.g. a place of business, venue, meeting point

City

State/Province

Degree 3

Degree 3

Major Area of Study

Year degree awarded

Institution (Name, City, State)

Location name

e.g. a place of business, venue, meeting point

City

State/Province

Bio Sketch

Please give us a brief description of your professional experience and expertise. UWCNE will use it to introduce you. Files must be less than 1 GB.Allowed file types: txt doc docx rtf pdf.

Or type in your bio

Comments or special instructions for UWCNE

Terms and Conditions of Use

By creating an account on this website, I give permission to UW Continuing Nursing Education to store my profile information and activity completion information (if applicable), such as quiz scores, evaluation responses and web form entries for at least six years or until I notify UWCNE that I would like to delete my information. I allow UWCNE to contact me regarding my registration and/or activities. (UWCNE will never share your information with outside parties.) For complete details, see Privacy Policy in the footer of this website.

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